I have a pretty good smile. However, over the last few years one of my front teeth is turning darker. I went to see my dentist and he said the tooth has died and needs a root canal treatment and a dental crown. This seems a bit extreme to me, especially because there is no infection. Also, what would cause a tooth to die if I’ve had no pain?

Carrie

Dear Carrie,

If there is no tooth infection, there is no reason for you to need a root canal treatment. I am not sure why your dentist suggested that. A crown is a bit of an over treqtment as well. If the tooth has turned dark without an infection, then it is likely that you bumped it lightly at some point. When that happens, it will develop a thicker dentist down the road, which gives it a dark appearance. However, the tooth will remain perfectly healthy.

With a healthy tooth, you have two osmetic solutions: a porcelain veneer or dental bonding. Both of these remove significantly less tooth structure than a dental crown.

Some highly artistic dentists will prefer dental bonding because they can gauge the color right there. Others will prefer a single porcelain veneer. Here’s the rub. Only about 2% of cosmetic dentists will be able to match a front tooth in a situation such as you are in. Please do not go to just any dentist.

My suggestion is you look for a dentist who is accredited with the American Academy of Cosmetic Dentistry. AACD accredited dentists have proven technique and artistry and will be able to do a good job for you in this situation.

This blog is brought to you by Philadelphia Cosmetic Dentist Dr. Michael Weiss.